HomeMy WebLinkAbout31997-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-31893
Date: 10/03/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 435 MOCKINGBIRD LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 55 Block ~ Lot
SOUTHOLD
(HAMLET)
15.57
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 11, 2006 pursuant to which
Building Permit No. 31997-Z
dated
MAY 11, 2006
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to PETER & GILLIAN COWAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
109706C
07/13/06
PLUMBERS CERTIFICATION DATED
N/A
~~
Authorized Signature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
PPLICATION FOR CERTIFICATE OF OCCUPANCY
.'
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
IOI1-!o~
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Date.
New Construction:
Old or Pre-existing Building:
43>') \--\.oc.Jo."'~b\~ l..CA,y\e SO...r\-lo\..oi r
House No. Street
?d-e.e. -\ ~: lk~ C'oWa.-J
05'5" Block 6
(check one)
Location of Property:
~
Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Lot
15" 5r
Subdivision Filed Map. Lot:
Permit No. ~ Date ofPermit.~ ApplicantJ e-J.. tt t'nwa...J
Health Dept. Approval: Underwriters Approval:
Plarming Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
lilrIi~
Fee Submitted: $
6--~. 1 \ 0 ~ 1
Ct) "2::- '3 , ~q 1
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
31997 Z
Date MAY
11, 2006
permission is hereby granted to:
PETER & GILLIAN COWAN
PO BOX 866
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR PER DEC
AND TRUSTEE APPROVAL
at premises located at
435 MOCKINGBIRD LA
SOUTHOLD
County Tax Map No. 473889 Section 055
Block 0006
Lot No. 015.057
pursuant to application dated APRIL 11, 2006 and approved by the
Building Inspector to expire on NOVEMBER 11, 2007.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER
1-4738-03526/00001
FACILITY/PROGRAM NUMBER(S)
.
PERMIT
EFFECTIVE DATE
Mav 5, 2006
EXPIRATION DATE(S)
Under the Environmental
Conservation Law
May 5,2011
TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate
o Article 15, Title 5: Protection of Waters
o Article 17, Titles 7, 8: SPDES
o Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
o Article 15, Title 15: Water Supply
o Article 19: Air Pollution Control
o Article 15, Title 15: Water Transport
o Article 23, Title 27: Mined Land
Reclamation
o Article 34: Coastal Erosion
Management
o Article 15, Title 15: Long Island Wells
o Article 36: Floodplain Management
. Article 24: Freshwater Wetlands
o Article 15, Title 27: Wild, Scenic and
Recreational Rivers
o Article 25: Tidal Wetlands
o Articles 1,3,17,19, 27,37: 6NYCRR
380: Radiation Control
o 6NYCRR 608: Water Quality Certifica-
o Article 27, Title 7: 6NYCRR 360:
tion Solid Waste Manaoement
PERMIT ISSUED TO TELEPHONE NUMBER
Peter Cowan (631) 765-6781
ADDRESS OF PERMITTEE
435 Mockingbird Lane, Southold, NY 11971
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
NAME AND ADDRESS OF PROJECT/FACILITY
Cowan Property, same as above.
COUNTY I TOWN I WETLAND # NYTM COORDINATES
Suffolk South old SO-40 E: N:
DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a swimming pool. All work is to be done in
accordance with the attached plans stamped NYSDEC approved on May 5, 2006.
.,.
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01
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified and any Special Conditions included as part of this
ermi!.
DEPUTY PERMIT ADMINISTRATOR: ADDRESS
Region 1 Headquarters
Mark Carrara SUNY Bid . #40, Stan Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
May 5, 2006
Pa e 1 of 5
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
1. Any work, disturbance, and or storage of construction materials shall be confined to within the limit of clearing
and ground disturbance shown on the approved plan.
2. Any demolition debris, including excess construction materials and or excess excavated materials, shall be disposed
of on an approved upland site more than 100 feet from any regulated freshwater wetland by the close of business on
the day such material was generated.
3. Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end
along the limits of clearing and grading line. The bales shall be maintained, repaired and replaced as often as
necessary to ensure proper function, until all disturbed areas are permanently vegetated. Sediments trapped by the
bales shall be removed to an approved upland location before the bales themselves are removed.
4. Straw bales shall be recessed two to four inches into the ground at all times.
5. All fill shall consist of clean soil, sand and gravel that is free of the following substances: asphalt, slag, flyash, broken
concrete, demolition debris, garbage, household refuse, tires, woody materials including tree or landscape debris, and
metal objects.
6. There shall be no draining of swimming pool water directly or indirectly into freshwater wetlands or protected buffer
areas.
7. All pool discharges shall be directed to drywells located as shown on the approved plans.
8. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated
wetland or waterbody at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious
substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located greater than
100 feet landward of the regulated wetland or waterbody at allk Times. If this requirement cannot be met by the
permittee, then the storage areas must be designed to completely contain any and all potential leakage. Such a
containment system must be approved by NYSDEC staff prior to placement of equipment, machinery or tank storage
within 100 feet of the regulated wetland or waterbody.
9. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass and
.
mulched with straw immediately upon completion of the project, within two (2) days of final grading, or by the expiration
date of this permit, whichever is first. Mulch shall be maintained until a suitabte vegetative cover is established. If
seeding is impractical due to the season, a temporary mulch shall be applied and final seeding shall be performed as
soon as weather conditions favor germination and grow1h.
10. Suitable vegetative cover is defined as a minimum of 85% area vegetatively covered and no unvegetated areas
larger than one (1) square foot in size.
DEe PERMIT NUMBER
1-4738-03526/00001
PAGE 2 of 5
I~<::YV IVKI'\.:I 11-'\1 t: Ut:r'AKI Mt:N I UI-1::.NV'''UNMl::.NTAL CONSERVATION
SPECIAL CONDITIONS
11. The area between the new chain link fence and the fence to be removed as shown on the approved plans shall
be planted with a mix of highbush blueberry, arrowwood and or sweet pepperbush a minimum of 3' in height planted
on 6' centers in a grid pattern.
12. The permittee shall incorporate the attached Covenant (or similar language) to the deed for the property where the
project will be conducted and file it with the Clerk of Suffolk County within 30 days of the effective date of this permit.
This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof
of record, along with the number assigned to this permit, shall be submitted within 120 days of the effective date of this
permit to: NYSDEC, Bureau of Habitat Regional Manager, SUNY Bldg. #40, Stony Brook, NY 11790-2356
,
..
DEe PERMIT NUMBER
1-4738-03526/00001
PAGE 3 OF 5
..
.
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Soutbold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 20, 2005
Mr. Peter Cowan
435 Mockingbird Lane
Southold, NY 11971
RE: 435 MOCKINGBIRD LANE, SOUTHOLD
SCTM#55-6-15.57
Dear Mr. Cowan:
The Board of Town Trustees took the following action during its regular meeting held on
Wed., July 20, 2005 regarding the above matter:
WHEREAS, PETER COWAN applied to the South old Town Trustees for a permit under
the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the
Town of Southold, application dated May 27,2005 and,
WHEREAS, said application was referred to the South old Town Conservation Advisory
Council for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on July 20, 2005, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 97 of the
Southold Town Code,
'2
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of PETER COWAN to
install an in-ground swimming pool, patio and fence, with the condition drywells are
installed to contain the pool backwash, and all as depicted on the survey prepared by
John C. Ehlers last dated July 29, 2005.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
Fees: $50.00
Very truly yours,
~,I? ~'(j,.
Albert J. Krupski, Jr., President
Board of Trustees
AJKllms
3/1~7Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING M' FINAL A.. ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE If) .-'}.-o (:,
INSPECTOR ~~
3 Ui q 7.-e:-
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] INSUj7
[ ] FRAMING I STRAPPING [~Al
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
fj)
REMARKS:
k
DATE ffr6
INSPECTOR
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Jolm Holzapfel
Town Hall
53095 Route 25
P.O. Box 1179
8outhold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0154C
Date Seotember 21. 2006
TIDS CERTIFIES that the in-ground swimming 0001. oatio & fence
At 435 Mockingbird Lane. Southold
Suffolk County Tax Map # 55-6-15.57
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 5/27/05 pursnant to which Trustees Permit # 6165 Dated Julv 20.2005
Was issued, and conforms to all of the requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for an in-ground swimming 0001. oatio & fence
The eertificate is issued to PETER COWAN
owner of the
aforesaid property.
~G<7
Authorized Signature
. ,
FIELD INSPECTION REPORT DATE COMMENTS .
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FOUNDATION (1ST) J~
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INSULATION PER N. Y. ~
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TQWN OF SOUTHOLD
BUILDING DEPARTME.~T
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TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
PERMIT NO.
3lqq~(
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans ~
Planning Bo~ approval
Survey ,/'
Check
Septic Form
N.Y.S.D.E.C.
Trustees ./
Contact:
Examined
Approved
Disapproved ale
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~P~A/iJN io~ Jii'. DING PERMIT
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._...!NSTR..UCTI NS
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Mail to:
Expiration
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JlIJ1--,20J
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tW!e:e~tf- (p 7 '-! .3
f-I..u 1-b)b'M'f
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Date A If}) Kt
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,20 DS
I.
a. This application MUST be c:-
sets of plans, accurate plot plan to scale. ee according to schedule.
p. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
~~d waterways.
~ c. The work covered by this application may not be connnenced before issuance of Building Permit.
d. Upon approval of this application, the Building fuspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building fuspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not connnenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building fuspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLlCA TION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
1..
pr in ink and submitted to the Building fuspector with 3
I
4 35 JY)()ciJf)~ b; rc;.llV\ S~I rltlDlcA M7J
(Mailing a ss of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
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Nameofownerofpremises ?eJf'r -t ~: LhClV\ C ()~ (\
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. , 5 /1 / - It ~
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location ofland on which proposed work will be done:
4 '3,') M nd.i rs b i rtJ.... !..D.1)e,..> ~\~
House Number Street Hamlet
County Tax Map No. 1000 Section S 5 .
Subdivision
(Name)
Block ~
Filed Map o.
Lot 15. 5,
Lot
"
2. State existing use and occupancy of premises and intenderl; use and occupancy of propos~d eanstruction:
a. Existing use and occupancy 'One... +(1 m J 1'1 n uu..e / II . n 3 ..
b. IntendeduseandoccupancYOr\Q J'r1(')');J,} /?It..ue.lli~ "n-9({)U~SLA);rn~J
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition OtherWorkJ.09(f'l.Jlm Q,.,); mm:tl5 PoOl
(Description)
Fee
(To be paid on filing this aLPlicatiOn)
Number of dwelling units on each floor N A
4. Estimated Cost
5. If dwelling, number of dwelling units rJ fA
NIA
.
If garage, number of cars
rI/A
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
:~rrt't ..
3~
8. Dimensions of entire new construction: Front \ ~
Height Number of Stories
Rear
Depth
9. Size oflot: Front --, LI .1 Lo
Rear
\ III R' Depth ;:)/0.. f S
10. Date of Purchase
Name of Former Owner
.,
~
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance orregulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
Phone No.
Phone No
Phone No.
Address
Address
Address
14. Names of Owner of premises
Name of Architect
Name of Contractor
15 a. Is this property within 100 feet iff a tidal wetland or a freshwater wetland? *YES _NO _
* IF YES, SOUTHOLD TOWN nu;STEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
,.
16. Provide survey, to scale, with nCcurate foundatiol). plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTYOF~
~. (.atf being duly sworn, deposes and says that (s)he is the applicant
e of individual signing contract) above named,
(S)He is the
'D W flL(
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners~ and.is d~y au~o~ed to perform or have performed the said work and to make and file this application;
that all stat~ments contained m this applicatiOn are true to the best of his knowledge and belief; and that the work will be
performed m the manner set forth in the application filed therewith.
Sworn to before me this /J
aMI dayof L4~';- 20US'
~~ / ~/J);8~~
Notary Public
JW.2).~
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A?g~&AW](l$~
oGGYPANCy~
USE IS UNLAWFUL "IMMEDIATELY"
WI'I HOUT.CERTIF1CATE ENCLOSE POOL TOCOOE
UPON COMPLETION
FILE050822?rf5'~~ -4' ::FQf!E"WATER.
6' STEP & LOUNGE (f......A-L..........")
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drawing ror: COWAN
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COMPLY W~T!;I,.A~{;{gP'l;~ OF
NEW YORK SThl'b~d~W~~S
AS REQUIRED AND CONDITIONS OF
~ SOUTHDLDTOWN Z8A 1:=
IV {tt-_SOUTHOlDTOWNPLANNING80ARD I~I .
/ SOUTHOLD TO,',N TRUSTEESt
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F LLOWING INSPECTIONS: 2R
1 FOUNDATION - TWO REQUIRED
FOR i'litJfl~ONCrE;LE
2 ROUGH - FRAMING I9MBlNC
INSULATION
FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
LL CONSTRUCTION SHALL MEET THE
EQUIREMENTS OF THE CODES OF NEW
ORK STATE. NOT RESPONSIBLE FOR
ESIGN OR CONSTRUCTION ERRORS,
5'
8' SKIMMER
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6R X 12W
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MA.NUFACTURlNG & OISl1\IBUT~--J
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SURVEY OF LOT 51
MAP OF HI6HPOINT MEADOHS, SECTION THREE"
FILED MARCH 1<1, 1<1<10 AS FILE NO. 8<112
SIlVA TEl 5OIJTHOLD
TOJ^t{1 5OIJTHOLD
SUFFOLK COUNTY, NY
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SURVEYED 04-25-2005
HETLAND LOCATION 05-25-2005
SUFFOLK COUNTY TAX #
1000 - 55 - 6 - 1551
Cl!R11FIBD TO:
GILLIAN COWAN
PB'l1!R COWAN
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STAKE FOUND
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